ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN II Questions
Extract:
Question 1 of 5
A nurse is reinforcing discharge teaching with a client who had an abdominal hysterectomy 2 days ago. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Taking a shower prevents infection by avoiding soaking the incision, promoting healing after an abdominal hysterectomy.
Question 2 of 5
A nurse is caring for a client who is postoperative following a total thyroidectomy for hyperthyroidism. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: A temperature of 39°C may indicate thyroid storm, a life-threatening complication requiring urgent intervention.
Question 3 of 5
A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: A change in pupil size may indicate increased intracranial pressure, a life-threatening stroke complication requiring immediate reporting.
Question 4 of 5
A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?
Correct Answer: A
Rationale: Maintaining direct pressure promotes clotting and stops bleeding, critical for a client with hemophilia to prevent excessive blood loss.
Question 5 of 5
A nurse is reviewing vital signs obtained by an assistive personnel on a group of clients. The previous vital signs for each of the clients were obtained 4 hr earlier. Which of the following changes should the nurse identify as the priority finding?
Correct Answer: C
Rationale: A blood pressure drop to 86/50 mm Hg indicates hypotension, which can compromise tissue perfusion and requires immediate intervention to prevent organ damage.